Yes, I would like to help as part of the NZ crisis response workforce.

This form is for people who would like to become casual employees of New Zealand Health Group and participate in training to become an emergency community support worker.

You will be provided with NZQA accredited training.

Mandatory vaccination for healthcare workers

High-risk workers in the health and disability sector will need to have had their first dose by 30 October 2021 and be fully vaccinated by 1 December 2021.

More information can be found here. https://www.beehive.govt.nz/release/mandatory-vaccination-two-workforces

COVID-19 vaccination status

First name

Last name

Date of birth

dd/mm/yyyy

Phone number

Email address

Are you eligible to work in NZ?

Ethnicity

Gender

City

What is your current work situation?

What might your availability be? Tick all that apply.

Have you been convicted of any offence against the law either in New Zealand or overseas? (excluding minor traffic and parking offences, and/or convictions which occurred more than 7 years ago and are covered by the Clean Slate Act 2004).

Do you have any criminal charges pending other than minor traffic offences?

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